JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Rock Regional Hospital, Llc

4 / 5

At a glance

Rock Regional Hospital, Llc carries a 4-star CMS overall rating — above the national norm.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days38Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.022Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days156Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.077Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures1Not available
SSI - Colon Surgery: Predicted Cases0.017Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days1999Not available
MRSA Bacteremia: Predicted Cases0.072Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient Days1999Not available
Clostridium Difficile (C.Diff): Predicted Cases0.376Not available
Clostridium Difficile (C.Diff): Observed Cases0Not available
Clostridium Difficile (C.Diff)Not available

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national206
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.7Same as national31
Death rate for heart failure patients10.9Same as national56
Death rate for pneumonia patients15.8Same as national106
Death rate for stroke patientsNot available
Pressure ulcer rate0.55Same as national426
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national684
In-hospital fall-associated fracture rate0.26Same as national683
Postoperative hemorrhage or hematoma rate2.31Same as national134
Postoperative acute kidney injury requiring dialysis rate1.66Same as national98
Postoperative respiratory failure rate8.80Same as national101
Perioperative pulmonary embolism or deep vein thrombosis rate3.41Same as national138
Postoperative sepsis rate5.12Same as national92
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.04Same as national57
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients-9.7Not available57
Hospital return days for pneumonia patients-20.1Not available109
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national281
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national594
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national142
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national31
Heart failure (HF) 30-Day Readmission Rate19.4Same as national57
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national109

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating5189
Doctor communication - star rating5189
Communication about medicines - star rating3189
Discharge information - star rating3189
Cleanliness - star rating3189
Quietness - star rating4189
Overall hospital rating - star rating5189
Recommend hospital - star rating5189
Summary star rating4189

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumelow
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events1383
Healthcare workers given influenza vaccination86370
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better110440
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better106407
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better25424
Left before being seen112183
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95187
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18260
Appropriate care for severe sepsis and septic shock8041
Septic Shock 3-Hour Bundle7311
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8841
Severe Sepsis 6-Hour Bundle10028
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis98412
Intensive Care Unit Venous Thromboembolism Prophylaxis94105

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Rock Regional Hospital, Llc rated?
Rock Regional Hospital, Llc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Rock Regional Hospital, Llc have emergency services?
Yes. Rock Regional Hospital, Llc operates a 24/7 emergency department.
Where is Rock Regional Hospital, Llc located?
Rock Regional Hospital, Llc is located at 3251 North Rock Road, Derby, KS 67037.
What type of hospital is Rock Regional Hospital, Llc?
Rock Regional Hospital, Llc is classified by CMS as a Acute Care Hospitals facility (Proprietary).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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